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Utah rates for HCPCS 64680

Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus

Facilitymedian $3,162 · 10th–90th $229–$4,7860%10%10th90th$3,162Professionalmedian $468 · 10th–90th $224–$6460%10%10th90th$468$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $3,162.28 / $4,786.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,737.80 / $2,691.53
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $467.74 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,818.38 / $5,128.61